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Organization
LIFESTYLE SOLUTIONS MEDSPA PL
Active
Organization
LIFESTYLE SOLUTIONS MEDSPA PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL M HOLLOWAY MD (MANAGER)
(352) 368-2148
Entity
Organization
Contact information
Practice address
2139 NE 2ND ST STE B, OCALA, FL 34470-8264
(352) 368-2148
(352) 368-5892
Mailing address
2139 NE 2ND ST STE B, OCALA, FL 34470-8264
(352) 368-2148
(352) 368-5892
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME89480
FL
Other
Enumeration date
05/03/2007
Last updated
10/22/2007
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